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Managing Spread

Managing Spread. September 18, 2000. Spread. Population of Focus for your Aim. Target Population for Spread. -Other clinicians -Other clinics -Other organizations -Other diseases. Theoretical Diffusion Curve. 300. 250. 200. 150. 100. 50. 0. 1927. 1928. 1929. 1930.

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Managing Spread

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  1. Managing Spread September 18, 2000

  2. Spread Population of Focus for your Aim Target Population for Spread -Other clinicians -Other clinics -Other organizations -Other diseases

  3. Theoretical Diffusion Curve

  4. 300 250 200 150 100 50 0 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 Example of Rate of Spread# Adopters of Hybrid Seed Corn in Two Iowa Communities Cumulative Number of Adopters Number of Farmers Year Source: Based on Ryan and Gross (1943).

  5. Readiness to Begin Spread • There is an intention to spread the work of the Collaborative team in the organization • A System of Care (e.g. diabetes) is a key initiative for the organization in 2000/2001 • A Senior Leader is responsible and accountable for coordination and spread of the chronic care system. • The Collaborative team is relatively self sufficient (has been and will continue to be successful!)

  6. What You Can Do to Help with Spread • Help to make the case for change • Make it easier for others to make the changes • Pick the right messengers

  7. Help to Make the Case for Change • Two or three good run charts • Promote your work – “Make the message memorable!”

  8. Make It Easy for Others to Do the Work • Develop the details regarding the changes • Identify and document the ways to reduce the transition issues

  9. Details Regarding the Change of Patient Seeing Multiple Providers • Guidance on timing and scheduling • Order that the patient sees the providers • Movement of patient and/or providers (when and where) • Pre-visit tasks • Documentation, data collection, and follow-up

  10. Examples of Transition Issues • Time away from caring for patients • Training • Reduced productivity because of the learning curve • Making changes to the budget • Change of work tasks and flow • Development of a database

  11. Develop the Messengers • Focus on peer-to-peer communication • Identify and choose connectors, mavens, salespeople • Educate the messenger to deliver the message

  12. Bibliography • Cool et al. Diffusion of Information Within Organizations: Electronic Switching in the Bell System, 1971 –1982, Organization Science, Vol.8, No. 5, September - October 1997. • Gladwell, M. The Tipping Point. Boston: Little, Brown and Company, 2000. • Rodgers E. Diffusion of Innovations. New York: The Free Press, 1995.

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